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Contact Information

BRIAN M GRANT, M.B., B.S.
825 2ND AVE STE B1
BOWLING GREEN, KY42101-1790
 Phone: 270-796-3330
 Fax: 270-796-3338
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for BRIAN M GRANT · (Male)

NPI # 1215303110
Status Active
Credentials M.B., B.S.
Entity Individual
Enumeration date 08/13/2015
Last updated 07/27/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • DC License # MTL002969
  • KY License # 56346
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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